Abstract: Background: Frozen shoulder syndrome is chronic inflammation of glenohumeral joint capsule commonly known as adhesive capsulitis. This disease characterised by gradually increasing shoulder pain followed by limitation in range of movements. Therapeutic management has no effect on adhesive capsulitis. Recently a combination of suprascapular nerve block (SSNB) with closed manipulation and with intraarticular steroid injection (IA) has shown a best and fruitful treatment which is safe and successful method for the relieving of pain and gain of full range of motion (ROM).
Aim: To assess the pain scores and to achieve full range of movements before procedure and after 5 hours, 5 days and 15 days and 1month of the procedure.
Study Design: Retrospective study.
Methods: Retrospective study of 82 patients (26 male and 56 female) with frozen shoulder, from December 2018 to December 2020. A combination of suprascapular nerve block (SSNB) with closed manipulation and with intra articular steroid injection (IA) were given to the patients. Assessment were done on the severity of pain and range of movements before and after the treatment were noted.
Results: All parameters like forward flexion, extension, adduction, abduction, internal rotation, external rotation and circumduction assessed before procedure and after 5 hours, 5 days, 15 days and 1month after procedure were done. Many patients significantly improved. However at 15 days of assessment 8 patients showed mild restriction of all the movements.
Conclusion: Combination of suprascapular nerve block with closed manipulation and with intraarticular steroid injection is the best and fruitful treatment for frozen shoulder. Continuous shoulder mobilizing exercise will improve from pain and improve functional outcomes of these patients.
